A network against failing hearts—Introducing the German “Competence Network Heart Failure”

Mehrhof, Felix; Löffler, Markus; Gelbrich, Götz; Özcelik, C.; Posch, Maximilian; Hense, Hans Werner; Keil, Ulrich; Scheffold, Thomas; Schunkert, Heribert; Angermann, Christiane E.; Ertl, Georg; Pieske, Burkert; Wachter, Rolf; Edelmann, Frank; Wollert, Kai C.; Maisch, Bernhard; Pankuweit, Sabine; Erbel, Raimund; Neumann, Till; Herzog, Wolfgang; Katus, Hugo A.; Müller‐Tasch, Thomas; Zugck, Christian; Düngen, Hans Dirk; Regitz‐Zagrosek, Vera; Lehmkuhl, Elke; Störk, Stefan; Siebert, Uwe; Wasem, Jürgen; Neumann, Anja; Göhler, Alexander; Anker, Stefan D.; Köhler, Friedrich; Möckel, Martin; Osterziel, Karl Josef; Dietz, Rainer; Rauchhaus, Mathias

doi:10.1016/j.ijcard.2009.06.061

Cited by 40 publications

(51 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data were successively collected from all patients within the CNHF and recorded using standardized case report forms (CRFs) and finally fed into a standardized database, which allows for pooled data analyses of study results (Mehrhof et al 2010). Patients were questioned at baseline in a standardized way about the disease-related resource use in the last 12 months.…”

Section: Samplementioning

confidence: 99%

Resource use and costs in systolic heart failure according to disease severity: a pooled analysis from the German Competence Network Heart Failure

et al. 2011

Self Cite

View full text Add to dashboard Cite

Aim Systolic chronic heart failure (CHF) is currently one of the most prevalent cardiac diseases. The present analysis sought to estimate the 1-year disease-related resource use and associated management costs of patients with CHF.Subject and methods A total of 2,710 individuals with systolic CHF [mean age 62.9 years ± 13.6, 25.2% female, New York Heart Association (NYHA) I-IV] were included from the German Competence Network Heart Failure. Disease-related resource use was assessed with regard to outpatient contacts with physicians, Janine Biermann and Till Neumann contributed equally to the study. hospitalizations including rehabilitation stays and drug utilization. Results During 1 year, patients had on average 6.1 contacts with their general practitioner, 1.7 contacts with cardiologists and 0.8 hospital stays per year. Overall disease-related health care costs per patient were calculated at 3,150 € per year. The largest component related to hospitalizations (2,328 €, 74%), while costs of rehabilitation (294 €, 9%), medication (290 €, 9%) and outpatient contacts (238 €, 8%) were considerably lower. Compared with 2,474 € in NYHA class I, there was a cost increase in NYHA II, III and IV of 14, 48 and 71%, respectively. About 76% of this cost increase resulted from augmented hospital (inpatient) resource use. Conclusion The present analysis demonstrates a high disease-related resource consumption of heart failure care. In particular, patients in higher NYHA classes require increased inpatient resources. Hence, improved treatment strategies need to be developed to optimize care thus reducing hospitalization rates.

show abstract

Section: Samplementioning

confidence: 99%

Resource use and costs in systolic heart failure according to disease severity: a pooled analysis from the German Competence Network Heart Failure

et al. 2011

Self Cite

View full text Add to dashboard Cite

show abstract

“…Comprehensive clinical and health economic datasets were documented for all patients. [9]. Economic evaluation was performed from a societal perspective.…”

mentioning

confidence: 99%

Economic burden of patients with various etiologies of chronic systolic heart failure analyzed by resource use and costs

Biermann¹,

Neumann²,

Angermann³

et al. 2012

International Journal of Cardiology

Self Cite

View full text Add to dashboard Cite

“…A short overview of the specific populations studied in these trials and the respective study design is provided in Table 1. Further details of the respective studies have been reported elsewhere [1].…”

Section: Study Populationmentioning

confidence: 99%

“…Comorbidities were evaluated utilizing all available information gleaned from medical records, pathological clinical and laboratory test results, and current pharmacotherapy medicating the respective condition. The standardized case report form of the CNHF that had been specifically developed to enable valid comparison of clinical variables across all network studies was applied [1]. The pooled data set used for the present analysis was restricted to 33 baseline variables recorded upon inclusion into the respective Competence Network study.…”

Section: Study Populationmentioning

confidence: 99%

“…To pool clinical expertise and expand knowledge beyond scientific communities, the Competence Network Heart Failure (CNHF) was initiated by the German Federal Ministry of Research and Education (BMBF), in 2003. A detailed overview of the infrastructure and scientific projects incorporated in the CNHF has been published elsewhere [1][2][3]. Community-based cohorts as well as cross-national surveys have provided insights into the actual implementation of current treatment guidelines in heart disease.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Implementation of pharmacotherapy guidelines in heart failure: experience from the German Competence Network Heart Failure

Zugck

Franke

Gelbrich³

et al. 2011

Clin Res Cardiol

View full text Add to dashboard Cite

This large pooled analysis showed that a high level of guideline adherence is achievable in the context of clinical studies. Those receiving and tolerating optimal pharmacotherapy experience a better prognosis. Nevertheless, the implementation of heart failure medication needs further improvement in female and elderly patients, especially those in NYHA functional class >II and patients with LVEF ≥30%.

show abstract

A network against failing hearts—Introducing the German “Competence Network Heart Failure”

Cited by 40 publications

References 13 publications

Resource use and costs in systolic heart failure according to disease severity: a pooled analysis from the German Competence Network Heart Failure

Resource use and costs in systolic heart failure according to disease severity: a pooled analysis from the German Competence Network Heart Failure

Economic burden of patients with various etiologies of chronic systolic heart failure analyzed by resource use and costs

Implementation of pharmacotherapy guidelines in heart failure: experience from the German Competence Network Heart Failure

Contact Info

Product

Resources

About